Pharm 9-11 Flashcards
black patients with hypertension medications
CCB or thiazide
patient with hypertension and DM medications
thiazide or ACE or ARB
pregnant people with hypertension
- no ACE or ARB
- methyldopa, lobetalol, nifedipine, hydralazine
post MI
beta blocker or thiazide
ACE, CCB, thiazide with edema in legs
amlodipine - reduce dose
decreased HR, increased BP
ace or arb or ccb
kidneys - renin
beta-adrenergic receptor antagonists
angiotensinogen to angiotensin I
aliskirin
angiotensin I to angiotensin II and bradykinin to inactive products
ACE inhibitors
angiotensin II to adrenal cortex and/or arterioles
angiotensin receptor inhibitors
reflex tachycardia side effects
- DHP CCB
- nitrates
- hydralazine and minoxidil (vasodilators)
- alpha-1 antagonist
high dose of medications and not responding
- adherence
- add medication
- call pharmacist to see what meds/ supplements they are on and if they are refilling their medication
- diet
hypertension urgency
- not taking medications
- due to side effects
anti arrhythmic - rate
elderly, V. arrthmias
- beta-blockers
- calcium channel blockers
- sotalol
- dig
anti-arrhythmic - rhythm
- young, severe symptoms, hypotension
- Class Ia, Ic, and III
anti-arrhythmic drug side effect
dysrhythmias
Class I (quinine, procainamide, lidocaine) phase of AP
phase 0 - depolarization
Class II Beta-blockers and Class IV Calcium Channel blockers
phase of AP
phase 2 - contraction
Class III (amiodorone and bretylium) phase of AP
phase 3 - repolaraziation
Class Ia
increase or decrease AP
increase
Class Ib
increase or decrease AP
decrease
Class Ic
increase or decrease AP
no effect
Class III
increase or decrease AP
increase
afib and no other drugs are working
Digitals